IMPLANT & PERIODONTIC SPECIALISTS OF PUEBLO
NPI 1154970366
Dentist - Periodontics in Pueblo, CO

NPI Status: Active since September 10, 2019

Contact Information

2041 PEPPER LN
PUEBLO, CO
ZIP 81005
Phone: (719) 696-9009

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  • Organization
  • Dentist
  • Periodontics

About IMPLANT & PERIODONTIC SPECIALISTS OF PUEBLO

This page provides the complete NPI Profile along with additional information for Implant & Periodontic Specialists Of Pueblo, a provider established in Pueblo, Colorado operating as a Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1154970366 assigned on September 2019. The practitioner's primary taxonomy code is 1223P0300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Implant & Periodontic Specialists Of Pueblo. The authorized official of this NPI record is Michael Robert Herrera (Business Manager)

NPI
1154970366
Provider Legal Name
EDEN DENTAL PUEBLO PC
Other Organization Name
IMPLANT & PERIODONTIC SPECIALISTS OF PUEBLO
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2041 PEPPER LN PUEBLO, CO 81005
Location Phone
(719) 696-9009
Mailing Address
2041 PEPPER LN PUEBLO, CO 81005
Mailing Phone
(719) 696-9009
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-10-2019
Last Update Date
11-12-2020
Code Navigator

A dentist like Implant & Periodontic Specialists Of Pueblo is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Periodontics

Taxonomy Code
1223P0300X
Type
Dental Providers
Taxonomy Description
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11223G0001XDental Providers

Dentist
General Practice

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL ROBERT HERRERA

Authorized Official Title
BUSINESS MANAGER
Authorized Official Phone
(760) 978-8527

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1154970366, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
3
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 9 → 18 → 9 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 1 + 8 + 7 + 0 + 3 + 1 + 2 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1154970366.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Dentist (General Practice)
2041 PEPPER LN
PUEBLO, CO 81005
Dentist
2041 PEPPER LN
PUEBLO, CO 81005
Dentist (General Practice)
2041 PEPPER LN
PUEBLO, CO 81005
Dental Hygienist
2041 PEPPER LN
PUEBLO, CO 81005

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154970366, enumerated as an "organization" on September 10, 2019.

The provider is located at 2041 PEPPER LN PUEBLO, CO 81005 and the phone number is (719) 696-9009.

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.